BRIAN LORIN BULLOCK CRNA
NPI 1548600745
Nurse Anesthetist, Certified Registered in Lewiston, ID

NPI Status: Active since July 02, 2013

Contact Information

415 6TH ST
LEWISTON, ID
ZIP 83501
Phone: (239) 896-3934

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  • Individual
  • Male
  • Years of Experience 14
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About BRIAN BULLOCK

This page provides the complete NPI Profile along with additional information for Brian Bullock, a provider established in Lewiston, Idaho with a medical specialization in Nurse Anesthetist, Certified Registered and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1548600745 assigned on July 2013. The practitioner's primary taxonomy code is 367500000X with license number 6631838-4406 (UT). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1548600745
Provider Name
BRIAN LORIN BULLOCK CRNA
Gender
Male
Entity Type
Individual
Location Address
415 6TH ST LEWISTON, ID 83501
Location Phone
(239) 896-3934
Mailing Address
1827 BIRCH DR LEWISTON, ID 83501
Mailing Phone
(239) 896-3934
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
Yes
Enumeration Date
07-02-2013
Last Update Date
11-15-2021
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Location Map

Secondary Locations

  • 131 Medical Park Rd SUITE 308
    Mooresville, NC 28117
    (704) 662-0876
  • 170 N 1100 E
    American Fork, UT 84003
    (239) 896-3934

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
6631838-4406
License State
UT
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

261722 (NC)
2367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

RNA-932A (ID)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Signature Benchmark Gold - HMO
  • Signature Benchmark Gold Standardized Plan - HMO
  • Signature Benchmark Silver 5900 Medical Deductible - HMO
  • Signature Benchmark Silver Standardized Plan - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Brian Bullock is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 5395979058

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190627001320

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.31 for a new patient copayment and $16.44 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 83501 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $121.27
  • Minimum New Patient Price $52.44
  • Maximum New Patient Price $160.17
  • Average New Patient Copayment $30.31
  • Minimum New Patient Copayment $13.11
  • Maximum New Patient Copayment $40.04

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $65.77
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $130.93
  • Average Established Patient Copayment $16.44
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $32.73

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Brian Bullock is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
AMERICAN FORK HOSPITAL170 NORTH 1100 EAST
AMERICAN FORK, UT 84003
(801) 855-3300Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548600745, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 1 + 2 + 0 + 0 + 7 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1548600745.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
415 6TH ST
LEWISTON, ID 83501
Radiology (Radiological Physics)
415 6TH ST
LEWISTON, ID 83501
Internal Medicine (Medical Oncology)
415 6TH ST
LEWISTON, ID 83501
Anesthesiology
415 6TH ST
LEWISTON, ID 83501
Internal Medicine
415 6TH ST
LEWISTON, ID 83501
Radiology (Body Imaging)
415 6TH ST
LEWISTON, ID 83501
Registered Nurse (Registered Nurse First Assistant)
415 6TH ST
LEWISTON, ID 83501
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501
Skilled Nursing Facility
415 6TH ST
LEWISTON, ID 83501
Emergency Medicine
415 6TH ST
LEWISTON, ID 83501
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501
Emergency Medicine
415 6TH ST
LEWISTON, ID 83501
Emergency Medicine
415 6TH ST
LEWISTON, ID 83501
Emergency Medicine
415 6TH ST
LEWISTON, ID 83501
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501
Psychologist
415 6TH ST
LEWISTON, ID 83501
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
415 6TH ST
LEWISTON, ID 83501
Physician Assistant
415 6TH ST
LEWISTON, ID 83501
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
415 6TH ST
LEWISTON, ID 83501
Emergency Medicine
415 6TH ST
LEWISTON, ID 83501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548600745, enumerated as an "individual" on July 02, 2013.

The provider is located at 415 6TH ST LEWISTON, ID 83501 and the phone number is (239) 896-3934.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.

Brian Bullock is affiliated with: AMERICAN FORK HOSPITAL.